Mental Health, Learn to Live
bluebike, bluebikes boston, bluebike near me, bluebikes near me, bluebikes map, bluebiko, bluebike boston, bluebikes membership, bluebikes boston map, bluebike electric bikes, bluebikes station, boston bluebikes, bluebik, bluebike map, BCBSMA bluebikes, Bluebikes, Bluebikes Boston, Bluebikes bike share, Bluebikes metro Boston, Bluebikes app download Boston, How to ride Bluebikes, Blue Cross Blue Shield Bluebikes, Bluebikes sponsorship Massachusetts, Bluebikes bike-share sponsorship, Bluebikes health benefits, biking for health Boston, mental health biking benefits, environmental benefits bike share, Bluebikes how it works, Bluebikes app download, Bluebikes station locations, find Bluebikes station Boston, sustainable transportation Boston, Bluebikes community access, Bluebikes ebikes Greater Boston, Bluebikes ridership numbers, accessible bike share Boston, Bluebikes community health initiative, Bluebikes free credits accessible riders, Bluebikes promotions Blue Cross
Minimum Creditable Coverage
Minimum creditable coverage
Under the Massachusetts Health Care Reform Act, most Massachusetts residents 18 years of age must carry health insurance that meets specific standards called Minimum Creditable Coverage (MCC).
If you can't find the answer to your question below, or want more information about Minimum Creditable Coverage, please visit the Massachusetts Health Connector.
What is MCC?
MCC establishes the lowest health plan benefit threshold an individual must have, in order to meet the requirement for Massachusetts residents to have health insurance. Regulations defining minimum creditable coverage were established by the Commonwealth Health Insurance Connector Authority Board effective January 1, 2009.
Does MCC apply to me?
MCC applies to Massachusetts residents who are 18 years of age.
What happens if my plan doesn't meet MCC standards?
If your plan doesn't meet MCC, standards you may face a tax penalty.
How is MCC compliance being reported and monitored?
The Massachusetts Health Care Reform Act requires most residents over the age of 18 to prove that they have health care coverage or pay a penalty. Individuals will be required to transcribe data contained in the Massachusetts Form 1099-HC to their annual state income tax filing statement provided by the Massachusetts Department of Revenue (DOR).
Blue Cross Blue Shield of Massachusetts issues MA 1099-HC forms to qualifying subscribers residing in Massachusetts who are enrolled in a Blue Cross Blue Shield of Massachusetts health plan at any time during the calendar year.
The following subscribers won't be receiving a MA 1099-HC form:
- Subscribers younger than 18 years of age
- Subscribers having a dental- and/or vision-only plan through Blue Cross Blue Shield of Massachusetts
- Subscribers enrolled in Medex®' or one of our Medicare Advantage plans
How can I get my 1099-HC online?
Qualified members can download a PDF version of their 1099-HC by signing in to MyBlue, and going to Tax Forms. We'll post the form by January 31.
If you want a copy of your 1099-HC emailed to you, you can create an account or sign in to MyBlue, then select Contact Us to request a copy through the secure inquiry form.
Evidence of Coverage
Evidence of coverage
Blue Cross Blue Shield of Massachusetts Disenrollment Rates
In 2024, 17.3% of subscribers chose to leave their medical plan, and 0.05% were involuntarily terminated by Blue Cross. Also, 8.3% of subscribers voluntarily and 0.2% were involuntarily disenrolled from their dental plan with Blue Cross.
If you have received your annual Evidence of Coverage (EOC) letter by mail, you can learn more about your plan and access your online EOC resources after creating an account or signing into MyBlue. Blue Cross Blue Shield of Massachusetts members may request a paper copy of their EOC at any time by calling 1-888-608-3670.
After you sign in, select Documents in My Inbox to review or download your Subscriber Certificate and Riders.
In some cases you may need to contact your employer to request a copy of your EOC.
Healthcare Reform
Health care Reform
Massachusetts health care reform law requires most Massachusetts residents age 18 and older to have health coverage that meets minimum creditable coverage (MCC) standards set by the Massachusetts Health Connector, unless waived from the requirement based on affordability or individual hardship. Those who don't have health insurance that meets MCC standards but are deemed able to afford it may be subject to penalties on their personal income tax return.
For more information about MCC, call the Health Connector at 1-877-MA-ENROLL (1-877-623-6765) or visit the Health Connector website.
Subsidized coverage
If you or your family earn 300 percent or less of the Federal Poverty Level (FPL), you may be eligible for Medicaid or state subsidies to purchase health coverage. To find out if you're eligible for subsidized coverage, visit the Health Connector website.
View Blue Cross Blue Shield of Massachusetts Health Connector Plans and their corresponding Summary of Benefits and Coverage.
Coverage from Blue Cross Blue Shield of Massachusetts
All of our health plans meet health care reform law guidelines and Massachusetts Division of Insurance standards. We also offer a range of options for all income levels, individuals, and families, the unemployed, and people who are self-employed. To learn about our most popular coverage options, visit GetBlue site.
National health care reform changes
One of the provisions of national health care reform requires plans that provide coverage to dependents to offer coverage to all young adults up to age 26, regardless of the dependent's IRS tax qualification status, marital status, or student status.
Accessibility
Accessibility
Blue Cross Blue Shield of Massachusetts is committed to improving the accessibility of our websites and electronic communications. Working with The National Center for Accessible Media at WGBH (NCAM), we're striving for the highest level of accessibility for people with disabilities.
Over time we'll be implementing relevant portions of the Section 508 Web Accessibility Standards developed by the United States Access Board, as well as the World Wide Web Consortium's (W3C) Web Content Accessibility Guidelines (WCAG) 2.1 Level AA. With NCAM's help, we'll test our materials with assistive technology such as screen readers and screen magnifiers, and with users with disabilities who use these technologies. These processes will promote accessibility for everyone, regardless of disability or device used to access information on our websites and electronic communications.
This website is designed to be compatible with recent versions of Chrome, Firefox, Safari, and Microsoft Edge, as well as most Android and iOS devices. In addition, we support accessibility tools such as:
Below are some of the steps we're taking to ensure the accessibility of our materials.
- All images will contain appropriate alternative text
- Form elements will be properly labeled
- Data tables will contain headers where appropriate
- Headings will be used throughout the site
- Multimedia (video or audio clips) will be captioned and/or described
- All areas of the website will be operable without the use of a mouse
- Foreground/background color schemes will provide adequate contrast
- Information won't be conveyed through the use of color alone
- Links will be worded to make sense when read out of context
- A method will be provided to bypass repetitive navigational links
- Text will be resizable in all browsers
Please be aware that our efforts are ongoing; as a result there may be areas of our sites that are less accessible than others during a given period of time.
Contact our accessibility team
Blue Cross Blue Shield of Massachusetts' commitment to accessibility extends to all users. If you have questions or comments about our accessibility efforts, please contact us.
Call Member Service 1-800-262-2583 (TTY: 711) or sign in to MyBlue then send us a secure message.
More information
For information on Section 508 of the Rehabilitation Act, please visit the Department of Justice Section 508 website. More information about accessibility guidelines and resources is available via the W3C's accessibility guidelines (WCAG) and on WebAIM.
It’s hard to ask for help.
But we make it easy to get it.
Seeking support for substance use disorder is never easy. We’re here to support you and your loved ones. With no judgement, no matter what you’re going through.
Specializing in treatment, support, and hope
You can take this step. Whether the challenge is alcohol, prescriptions, or other substances, there's treatment for you:
- Outpatient therapy
- Intensive outpatient programs
- Partial hospital treatment
- Rehab or acute residential treatment
- Detox
Call Team Blue to talk about your treatment options at 1-800-392-0098.
You don't have to face it alone
A Team Blue Care Manager will help you understand the treatment choices, coverage, and support for you and your family.
Let’s Fight Opioids Together
Debunk the myths, recognize warning signs, and find support for you and the ones you love.
Find the help you need
Our search tool will help you find therapists, counselors, psychiatrists, cessation experts, family counseling, recovery facilities, and more. So you can find your balance again.
More ways to turn the corner
How to help a loved one
Read this article for tips from clinicians on how to recognize substance use disorder and how to help those struggling.
Managing a dual diagnosis
Substance use disorder and mental health conditions like depression often occur together, but they can be managed. Here's one member’s inspiring story.
Finding a road to recovery
One member found help through Alcoholics Anonymous, but it's not the only way. We cover a wide range of treatment options.
Forms
Here you'll find the forms most requested by members. To download the form you need, follow the links below.
Can't view PDF documents? Download Adobe Acrobat®’ Reader.
Appeal and Grievance form [PDF]
- Request an appeal if you feel we didn’t cover or pay enough for a service or drug you received.
- Request a grievance if you have a complaint against Blue Cross or your health care provider.
Authorization for release of information, designation of a personal representative, and more.
Debit Authorization Recurring Payment Authorization [PDF]
Schedule your payment to be automatically deducted from your bank account.
Deceased Member Affidavit [PDF]
A form used for claim reimbursement by the surviving spouse or next of kin of a deceased subscriber.
Direct Pay Application for a Membership Change Pay [PDF]
A form to make changes to Direct Pay after a membership change due to circumstances such as marriage, divorce, birth of a child, or loss of eligibility.
Documentation of Legal Representative Status for Member [PDF]
A form documenting the legal authority of an individual to act on a member’s behalf in making decisions about the member’s health care.
Domestic Partnership Affidavit [PDF]
When domestic partner coverage is included in your plan, you and your domestic partner must meet certain eligibility criteria. An affidavit is a legal statement that these eligibility requirements are met.
Member’s Request for an Accounting of Disclosures [PDF]
A form to request accounting of certain disclosures of your protected health information.
Member’s Designation of an Authorized Representative [PDF]
A form designating an individual as your authorized representative, who may discuss and receive information regarding your health care coverage provided through Blue Cross Blue Shield of Massachusetts.
Medicare Advantage Member's Designation of a Personal Representative [PDF]
A form for Medicare Advantage members to designate an individual as your authorized representative, who may discuss and receive information regarding your health care coverage provided through Blue Cross Blue Shield of Massachusetts.
Member’s Request to Amend Protected Health Information [PDF]
A form to request an amendment to Protected Health Information (PHI) that Blue Cross Blue Shield of Massachusetts maintains in a designated record set.
Permission for One-Time Disclosure of Information [PDF]
A form authorizing Blue Cross Blue Shield of Massachusetts to send specific information to a specific individual.
Renewal Audit Package [PDF]
You and your dependents must live in Massachusetts to renew your individual health plan with Blue Cross Blue Shield of MA. Use this form to show your eligibility.
Request for Access to or Copies of Protected Health Information in Designated Record Set [PDF]
A request form to inspect or obtain copies of your protected health information in the designated record set that Blue Cross and Blue Shield of Massachusetts maintains.
Retaining Coverage for a Disabled Adult Dependent [PDF]
A form to request coverage for a psychologically or physically disabled dependent child.
Student Certificate Affidavit [PDF]
A form that certifies that your child is a full-time student at an accredited school. This allows them to continue to be eligible for health coverage under your policy.
Student Medical Leave Affidavit Form [PDF]
This form certifies that your student dependent is on a medically necessary leave of absence from a post-secondary school.
Transgender Services [PDF]
A form detailing how to request Prior Authorization, or pre-approval, before gender affirming (transgender) services.
Enhanced Dental Benefits Enrollment Form [PDF]
Your dental coverage policy must include Enhanced Dental Benefits in order to be eligible for coverage.
Blue Cross Blue Shield Global Core® Brochure [PDF]
An informational guide for Blue Cross members, traveling within the United States or abroad. BlueCard®’ and Blue Cross Blue Shield Global® Core ensure you have access to top doctors and hospitals and concierge-level service.
Open Enrollment Waiver Form [PDF]
If you did not purchase health insurance during open enrollment period, you may request a waiver, visit mass.gov.
Transition of Care/Continuity of Care Request Form [PDF]
This form can be used for a Blue Cross Blue Shield of Massachusetts member* who is:
- - New to the plan and is receiving ongoing treatment from a provider that is not part of the Blue Cross network; or
- - Receiving ongoing treatment from a provider that has recently left the Blue Cross network; or
- - Using a tiered provider network and is receiving ongoing treatment from a provider that has moved to the highest cost-sharing tier.
*This form does not apply to Medicare HMO Blue® or Federal Employee Plan (FEP) members.
Fitness Reimbursement Form* [PDF]
A form to claim your reimbursement on qualified fitness programs or equipment.
Fitness Reimbursement Form* - Medicare Advantage only [PDF]
A form for Medicare Advantage members to claim your reimbursement on qualified fitness programs or equipment.
Fitness Reimbursement Form* (Spanish) [PDF]
A form to claim your reimbursement on qualified fitness programs or equipment.
Living Healthy Smoke-Free—Break Away from the Pack Brochure [PDF]
20 facts about smoking, reasons to quit, and smoking myths.
Weight-Loss Reimbursement Form* [PDF]
A form to claim your reimbursement on a qualified weight-loss program.
Weight-Loss Reimbursement Form* - Medicare Advantage only [PDF]
A form Medicare Advantage members to claim your reimbursement on a qualified weight-loss program.
Weight-Loss Reimbursement Form* (Spanish) [PDF]
A form to claim your reimbursement on a qualified weight-loss program.
*Reimbursements vary. Please refer to your Summary of Benefits to confirm your reimbursement amount.
When you are billed for services from a provider that does not directly submit a claim to the local Blue Cross Blue Shield plan you may submit that claim for reimbursement.
To use our paper forms, download the appropriate form by clicking the links below and follow the instructions on the form.
Dental Claim Form [PDF]
A form for submitting a dental claim with instructions on filing a claim.
EyeMed Claim Form [PDF]
A form for submitting a vision claim for Medicare subscribers who have EyeMed as their routine vision benefits administrator.
Medical Claim Form [PDF]
A form for submitting a medical claim with instructions on filing a claim.
Medex®´ Subscriber Claim Form [PDF]
A form for submitting a claim for Medex subscribers with instructions on filing a claim.
Medicare Advantage Subscriber Claim Form [PDF]
A form for submitting a claim for Medicare Advantage subscribers with instructions on filing a claim.
COVID-19 At-Home Test Reimbursement form [PDF]
Eligible members can complete the COVID-19 At-home Test Reimbursement.
International claims form for care received outside of the U.S., Puerto Rico and the U.S. Virgin Islands.
International Claim Form [PDF]
A form for members submitting a medical claim when the care is received outside of the U.S., Puerto Rico, and the U.S. Virgin Islands.
*Medicare Advantage members please use Medicare Advantage Subscriber Claim Form above.
Prescription Reimbursement Claim Form (English) [PDF]
Prescription Reimbursement Claim Form (Spanish) [PDF]
To request reimbursement for a prescription, download, print, fill out this form, and submit it together with your receipts to the address provided in this form.
Massachusetts Standard Form for Medication Prior Authorization Requests [PDF]
Your doctor can use this form to request prior authorization or an exception to have your medication covered.
Massachusetts Hepatitis C Medication Prior Authorization Request Form [PDF]
Your doctor can use this form to request prior authorization for Hepatitis C medication or an exception to have your medication covered.
Mail Service Pharmacy Order Form [PDF]
You can use this form to fill prescriptions through the mail service pharmacy.
Reproductive Health Travel Benefit Reimbursement Form [PDF]
You may be eligible for reimbursement for certain travel expenses related to obtaining abortion services. To find out if you’re eligible, contact Member Services at 1-888-420-4501.
As a health care organization, we believe strongly that our members should have access to the care they need and want. To support our members in states where abortion access is legally restricted, we are reimbursing certain travel and lodging expenses related to abortion services (either surgical or medication-assisted). See our public statement.
Travel Benefit Reimbursement Form [PDF]
This benefit reimburses you for certain travel and lodging expenses related to obtaining covered services that are not available within 100 miles of your home. To find out if you’re eligible for this benefit, call Member Service at 1-888-420-4501.
Qualifying members will receive tax forms that serve as proof of health insurance coverage.
Form 1099-HC
We'll provide the 2020 Form 1099-HC to qualifying members who were enrolled in a Blue Cross Blue Shield of Massachusetts plan at any time during the calendar year. If you qualify, you'll receive your form:
- Via mail, postmarked by January 31, 2021
- On their MyBlue account, added on January 31, 2021
To see your Form 1099-HC from the last two years, sign in to MyBlue and, click My Inbox and then Documents. Or you can click directly from here. View My Tax Form.
04-1045815 is the Federal Tax ID (FID) for Blue Cross Blue Shield of Massachusetts for Health Care tax filing purposes.
You won't receive a Form 1095-HC if:
- You're under 18 years old
- You have a dental and/or vision-only plan through Blue Cross
- You're enrolled in Medex®' or one of our Medicare Advantage plans
If you haven't received your 1099-HC by the first week of February, 2021, please call Member Service at the number on the front of your ID card.
Form 1095-B
We'll provide the 2020 Form 1095-B to qualifying members who were enrolled in a Blue Cross Blue Shield of Massachusetts plan at any time during the calendar year. The form will be postmarked by January 31, 2021.
Your Form 1095-B states which months in 2020 you had health care coverage that meets the minimum essential coverage standards set by the federal government under the Affordable Care Act.
You won't receive a Form 1095-B if:
- You're a member of a self-funded plan
- You're a member with dental-only and/or vision-only plans through Blue Cross
- You're enrolled in Medicare Part B or one of our Medicare Advantage plans
- You're enrolled in a Health Savings Account plan
- You're enrolled in wellness programs that are part of minimum essential coverage
If you haven't received your 1095-B by the first week of February, 2021, please call Member Service at the number on the front of your ID card.
Additional Tax Forms
In addition to Form 1099-HC and Form 1095-B, there are other health care-related tax forms that you won’t receive from Blue Cross. The deadline to provide these forms to qualified members is January 31.
Form 1095-A
Form 1095-A, or the Health Insurance Marketplace Statement, is for people who have health insurance through the Massachusetts Health Connector or an ACA Marketplace plan. This form will be provided to qualified members by their plan.
If you have a health plan through the Massachusetts Health Connector and haven’t received your Form 1095-A by January 31, visit Health Care Connector
Form 1095-C
Form 1095-C is for people who receive health insurance from their employer. This form will be provided to qualified members by their employer.
If you have employer-provided health insurance and haven’t received your Form 1095-C by January 31, please contact your employer or HR department.